How much rates vary
Facilitymedian $21 · 10th to 90th $20 to $25Professionalmedian $21 · 10th to 90th $15 to $29
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $30.90 | Professional | None | $13.49 | $22.39 | $30.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $16.98 Typical High $21.38 | Professional | UE · Used equipment | $12.88 | $16.98 | $21.38 |
BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Facility | None | $26.92 | $26.92 | $32.36 |
BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $2.69 | $2.69 | $2.69 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None | $21.38 | $21.38 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | None | $17.78 | $19.05 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $10.47 Median $22.39 Typical High $28.84 | Facility | None | $10.47 | $22.39 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | None | $27.54 | $28.84 | $28.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | RR · Rental | $2.88 | $2.88 | $2.88 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.60 Typical High $23.44 | Professional | None | $11.22 | $16.60 | $23.44 |
United Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.66 Typical High $2.34 | Professional | RR · Rental | $1.12 | $1.66 | $2.34 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.51 Median $12.30 Typical High $17.38 | Professional | UE · Used equipment | $8.51 | $12.30 | $17.38 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 50 · Both sides | $42.66 | $42.66 | $42.66 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 51 · Multiple procedures | $14.45 | $14.45 | $14.45 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 80 · Assistant surgeon | $5.75 | $5.75 | $5.75 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 81 · Minimal assistant surgeon | $3.98 | $3.98 | $3.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 82 · Assistant surgeon, no resident | $3.98 | $3.98 | $3.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | AS · PA/NP assist | $3.98 | $3.98 | $3.98 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | SH · Second concurrent infusion | $14.45 | $14.45 | $14.45 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | SJ · Third+ concurrent infusion | $14.45 | $14.45 | $14.45 |
Where North Carolina sits
The same service costs 2.3 times more in Hawaii than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 39th of 51
$21.38
HI $35.48NM $15.14
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.